• Need will be FULLY remote while the provider is working locums, but will need to transition to a hybrid model once they go perm
• 13-week locums assignment with intention to transition to permanent

• Schedule: Monday-Friday, 8:00 AM - 5:00 PM

• Start: ASAP

• Not open to: 1099, visa candidates, or providers with lapsed board certification

• Board Certification in OB/GYN (no exceptions)

• Texas Medical License (or willingness to obtain)

• Experience in Managed Care & Prior Authorization - REQUIRED

• Experience in Utilization Management committees - PREFERRED

• Knowledge of Texas Medicaid Regulations - REQUIRED

• Clean malpractice and license history required

Seeking an experienced OB/GYN physician with strong managed care expertise to serve as Associate Medical Director.Role includes clinical oversight, utilization management, quality initiatives, and physician performance review for a major Texas health plan.

• Review prior authorizations, appeals, and medical necessity determinations

• Conduct peer-to-peer reviews

• Provide oversight for UM, disease management, and quality programs

• Assist with pharmacy benefit oversight and coordination

• Participate in developing medical policies & clinical guidelines

• Analyze data for provider profiling and performance evaluation

• Participate in fraud, waste, and abuse program oversight

• Ensure adherence to state, federal, and accreditation regulations (TDI, HHSC, etc.)

• Represent the organization with state/local agencies as needed

• Lead and participate in managed care committees

• Oversee process improvement and workflow optimization

• Participate in annual departmental goal setting

• Assist with budgeting and resource planning

• Supervise and evaluate staff; ensure ongoing training and development

• Strong leadership, communication, and organizational skills

• Skilled in managed care principles, UM, value-based care, and population health

• Ability to interpret and develop treatment plans

• Negotiation skills and ability to remain calm under pressure

• Ability to apply medical knowledge to business/operational challenges

• Detail-oriented, adaptable, and able to handle confidential information

RecruitWell can arrange a call with the client to discuss further.Know someone who may be a fit? Referral bonuses available!

Allow RecruitWell to set up a phone call with you and the client to discuss more!

What RecruitWell Provides:

• A rated malpractice
• Weekly direct deposit
• 24/7 dedicated recruiter support
• Professional onboarding and credentialing
• Prepaid travel and lodging

RecruitWell's Core Values:

• Open communication
• Sense of urgency
• Teamwork
• Accountability
• Driven to win
• Higher consciousness